Provider Demographics
NPI:1144916735
Name:LANGLEY, ECHO DENISE (RN)
Entity type:Individual
Prefix:
First Name:ECHO
Middle Name:DENISE
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 820315
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-0006
Mailing Address - Country:US
Mailing Address - Phone:360-773-7931
Mailing Address - Fax:
Practice Address - Street 1:9507 NE 83RD CT
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-1892
Practice Address - Country:US
Practice Address - Phone:573-220-5220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00149272163W00000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse